Premier Imaging and Intervention, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PREMIER IMAGING AND INTERVENTION, PLLC

Practice address

122 Pinnell St # 720
Ripley, WV 25271-9101

Phone

(866) 871-7843

Fax

(614) 764-9147

NPI assigned

Jul 20, 2005

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Younis, MDNPI 1649279621

Title

President

Phone

(304) 372-2731

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in KY, WV, OH, FL, SC, AZ, NV, MI, TX, AL10 enrollments

Enrollment records 10

Locations

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S Younis, MD

  • Diagnostic Radiology Physician
  • Ripley, WV
  • NPI 1649279621
  Medicare reassignment Care Compare group Authorized official
• John J. Anton, MD

  • Diagnostic Radiology Physician
  • Charleston, WV
  • NPI 1508860438
  Medicare reassignment Care Compare group NPD
• Michael E. Anton, MD

  • Diagnostic Radiology Physician
  • Charleston, WV
  • NPI 1740284371
  Medicare reassignment Care Compare group NPD
• Nathan Daniel Bennington, D.O.

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1972777589
  Medicare reassignment Care Compare group NPD
• Jeffrey K Boyd, MD

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1508043522

  KY

  Medicare reassignment Care Compare group NPD
• Jeffrey R Clark, MD

  • Diagnostic Radiology Physician
  • Steubenville, OH
  • NPI 1699739946
  Medicare reassignment Care Compare group NPD
• Adam David Evans, D.O.

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1053748822
  Medicare reassignment Care Compare group NPD
• Tyler Jonathan Evans, D.O.

  • Neuroradiology Physician
  • Portsmouth, OH
  • NPI 1538494513

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Aun Ali Hussain, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1184056202
  Medicare reassignment Care Compare group NPD
• Norman M Jacobs, MD

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1407856214
  Medicare reassignment Care Compare group NPD
• Dustin Lee Johnson, MD

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1033439492
  Medicare reassignment Care Compare group NPD
• Frank Lee, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1306854500
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1285633370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11795",
            "address_2": "L-2543",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391795",
            "telephone_number": "866-871-7843",
            "fax_number": "614-764-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PINNELL ST # 720",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "866-871-7843",
            "fax_number": "614-764-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER IMAGING AND INTERVENTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "YOUNIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-372-2731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1551",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939639",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001707565",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694777",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007221",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000289222",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001906613",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003604",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207230000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002570",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2649683",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1021",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pleasant Valley Home Medical Equipment, Inc. (Medical Equipment Resources)
• Madison R Plumley, LSW
• Ginny Poe
• Cheryl Poling
• Randall Paul Posten
• Premiere Mental Health & Behavioral Medicine LLC
• Janice Price
• Sharon Elaine Purdy
• Jennifer Purvis
• Megan Quinn

• Diagnostic Radiology Physician in Ripley, WV
• Providers in Ripley, WV by specialty
• Diagnostic Radiology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.